NUR125 - NURSING FUNDAMENTALS COMPLETE
QUESTIONS WITH 100% VERIFIED ANSWERS
1. A nurse is planning hygiene for a client with dementia. The nurse understands
the need to provide an environment that will aid in the care of this client. Which
action will the nurse perform?
A. Ask several staff to be in the room for safety since the client is sometimes
agitated.
B. Refuse to bathe the client because the nurse and client have not established a
rapport.
C. Delegate this task to someone else since it's not the nurse's responsibility to
perform hygiene for clients.
D. Create a calming environment with little stimuli.
Correct Answer: D
Rationale: Clients with dementia benefit from a calm, low-stimulus environment to
reduce agitation and confusion during hygiene care. Multiple staff members may
increase anxiety, refusing care is neglect, and delegation does not remove the
nurse's responsibility.
2. A nurse is caring for a female client with diarrhea. What information does the
nurse teach the client about perineal care and self-care?
A. Clean the perineal area from front to back.
B. Insert any suppository medication prior to cleaning the perineal area.
C. Wear gloves while performing perineal self-care.
D. Bathe the perineal area with mild soap and water.
,Correct Answer: A
Rationale: Cleaning from front to back prevents introduction of fecal bacteria into
the urethra, reducing the risk of urinary tract infection. Suppositories should be
inserted after cleaning, gloves are not typically needed for self-care, and mild soap
is acceptable but not the priority teaching point.
3. The nurse is preparing to provide oral hygiene care to a client who has hypoxia.
What position should the nurse place the client in to perform this care?
A. Trendelenburg
B. Prone
C. High-Fowler
D. Supine
Correct Answer: C
Rationale: High-Fowler's position (sitting upright) maximizes lung expansion and
oxygenation, which is critical for a hypoxic client, and also prevents aspiration
during oral care. Trendelenburg, prone, and supine positions can compromise
breathing and increase aspiration risk.
4. A nurse on a medical-surgical unit is caring for an older adult client who has
early-onset dementia. Which approach should the nurse take when performing a
bed bath?
A. The nurse should delegate the care to another nurse of the same gender as the
client.
B. The nurse should encourage the client to participate in the care, assisting as
needed.
C. The nurse should complete all of the care for this client without any assistance.
D. The nurse should call a family member to have them bathe the client.
Correct Answer: B
,Rationale: Encouraging participation promotes independence, preserves dignity,
and maintains functional ability in clients with early dementia. Delegation based
on gender is unnecessary, doing all care promotes dependence, and calling family
members is not a professional nursing intervention.
5. The healthcare provider prescribes cephalosporin 0.5 g by mouth (PO) two
times per day. The nurse has 250 mg tablets available. How many tablets will the
nurse administer each day?
A. 1 tablet per day
B. 2 tablets per day
C. 4 tablets per day
D. 6 tablets per day
Correct Answer: C
*Rationale: Convert 0.5 g to mg: 0.5 g = 500 mg per dose. Each tablet is 250 mg,
so 500 mg ÷ 250 mg = 2 tablets per dose. Two doses per day: 2 tablets × 2 doses =
4 tablets total per day.*
6. A nurse is conducting a health history for a client with a skin problem. What
question or statement would be most useful in collecting data about the client's
personal hygiene?
A. "Tell me about what you do to take care of your skin."
B. "Please tell me what products you use for skin care."
C. "How often do you bathe?"
D. "Do you use a fresh washcloth and towel each time you bathe?"
Correct Answer: A
Rationale: An open-ended question ("Tell me about...") elicits comprehensive,
narrative information about the client's hygiene practices, beliefs, and routines.
, Closed-ended options (B, C, D) limit responses to specific facts and may miss
important context.
7. An older adult resident of a long-term care facility has recurring problems with
dry skin. Which strategy should the nursing staff utilize in order to help meet the
resident's hygiene needs while preventing skin dryness?
A. Use a non-soap cleaning agent.
B. Provide the client with bed baths rather than tub baths.
C. Use organic soap and shampoo.
D. Bathe the client more often, but without using soap or shampoo.
Correct Answer: A
Rationale: Non-soap cleaning agents (syndets) have a lower pH and are less drying
than traditional soaps, preserving skin barrier function in older adults. Bed baths
do not prevent dryness, organic soaps can still be drying, and bathing more often
(even without soap) can strip natural oils.
8. Why is clinical judgment complex when promoting safety?
A. It involves routine tasks with minimal thought.
B. It requires understanding a patient's perspective of safety and the risks posed
by physical conditions.
Correct Answer: B
Rationale: Clinical judgment in safety is complex because it requires integrating
the patient's unique perception of what is safe, their cognitive and physical
abilities, environmental risks, and clinical conditions—not just following routine
checklists. Option A is incorrect because safety promotion demands critical
thinking, not minimal thought.